Esophageal Corrosion after Drinking a Dangerous Cocktail

Abstract

Background: Unintentional ingestion of corrosive substances remains a significant public health concern in India due to inadequate regulation governing the sale and distribution of such agents. Most cases of corrosive esophageal injury are associated with accidental ingestion of acidic or alkaline chemicals; however, reports linked to beverages are exceedingly rare, and none have previously been attributed to a cocktail mixture.

Case Description: A 34-year-old man presented to the emergency department with a two-day history of burning chest pain. He was a known chronic alcohol user and had consumed a mixture of country liquor, an energy drink, and “Shirka” (a form of Indian vinegar). Approximately six hours after ingestion, he developed dyspepsia and abdominal discomfort, followed by dysphagia and intermittent episodes of severe chest pain. Upper gastrointestinal endoscopy revealed diffuse ulceration involving the entire length of the esophagus and extending into the hypopharynx, consistent with corrosive injury.

Conclusion: This case highlights the potential risk of severe corrosive esophageal injury resulting from the consumption of unconventional beverage mixtures. Greater awareness regarding the hazards of combining alcohol with acidic substances is essential to prevent such potentially serious complications.